How much rates vary
Facilitymedian $26 · 10th to 90th $10 to $69Professionalmedian $10 · 10th to 90th $6 to $17
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $9.77 Median $16.60 Typical High $36.31 | Facility | None | $9.77 | $16.60 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.77 Typical High $10.96 | Professional | None | $9.55 | $9.77 | $10.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $4.79 Typical High $5.13 | Professional | 52 · Reduced service | $4.68 | $4.79 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.95 Typical High $2.04 | Professional | 53 · Discontinued | $1.91 | $1.95 | $2.04 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
AmeriHealth Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Capital Blue Cross Setting Facility Modifier None Typical Low $63.10 Median $81.28 Typical High $5,011.87 | Facility | None | $63.10 | $81.28 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $10.96 | Professional | None | $9.33 | $9.33 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $18.20 Typical High $36.31 | Facility | None | $8.32 | $18.20 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $13.49 Typical High $28.84 | Professional | None | $7.41 | $13.49 | $28.84 |
Emblem Health Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $17.38 | Professional | None | $5.62 | $5.62 | $17.38 |
Geisinger Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Geisinger Setting Professional Modifier None Typical Low $10.23 Median $12.30 Typical High $17.78 | Professional | None | $10.23 | $12.30 | $17.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $19.05 Median $34.67 Typical High $66.07 | Facility | None | $19.05 | $34.67 | $66.07 |
Highmark BCBS Setting Professional Modifier None Typical Low $7.24 Median $8.71 Typical High $8.91 | Professional | None | $7.24 | $8.71 | $8.91 |
Independence Blue Cross Setting Facility Modifier None Typical Low $29.51 Median $45.71 Typical High $204.17 | Facility | None | $29.51 | $45.71 | $204.17 |
Martin's Point Setting Facility Modifier None Typical Low $9.77 Median $18.62 Typical High $38.02 | Facility | None | $9.77 | $18.62 | $38.02 |
Martin's Point Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $10.96 | Professional | None | $9.77 | $9.77 | $10.96 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $4.79 Typical High $5.13 | Professional | 52 · Reduced service | $4.79 | $4.79 | $5.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $2.04 | Professional | 53 · Discontinued | $1.95 | $1.95 | $2.04 |
UPMC Health Plan Setting Facility Modifier None Typical Low $12.02 Median $32.36 Typical High $67.61 | Facility | None | $12.02 | $32.36 | $67.61 |
UPMC Health Plan Setting Professional Modifier None Typical Low $10.47 Median $12.02 Typical High $14.45 | Professional | None | $10.47 | $12.02 | $14.45 |
United Setting Facility Modifier None Typical Low $10.72 Median $12.02 Typical High $14.45 | Facility | None | $10.72 | $12.02 | $14.45 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.94 Typical High $19.50 | Professional | None | $5.37 | $7.94 | $19.50 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier XU · Unusual separate service Typical Low $15.49 Median $38.90 Typical High $67.61 | Facility | XU · Unusual separate service | $15.49 | $38.90 | $67.61 |
Where Pennsylvania sits
The same service costs 4.7 times more in Alaska than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 24th of 51
$12.02
AK $39.81NJ $8.51
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.